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In a Reiki session, the client lies down or sits comfortably, fully clothed. The practitioner's hands are placed lightly or just above the client's body, palms down, using a series of 8 to 12 hand placements. Each position is held for about 2 to 5 minutes, or until the practitioner feels that sensations such as heat or tingling in the hands, has slowed or stopped.

The number of sessions depends on the health needs of the clients.

The duration of the sessions may be shorter in certain health care settings.

Practitioners with appropriate training may perform Reiki from a distance, that is, on clients who are not physically present in the office or clinic.

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